Physician resistance, stemming largely from fears that their work pace will slow, is among the top barriers to implementing computerized physician order-entry systems, and one solution may be to provide doctors with "help at the elbow" during implementation, according to a report in the July/August Health Affairs. That may mean using house staff and medical residents as facilitators, particularly with community physicians who frequent the hospital less, said the report by Harvard Medical School researchers. Other top barriers are order-entry systems' high cost and incomplete development, the report said. The researchers advised hospital leaders to sell order-entry systems to their boards as an improvement in patient safety that also could strengthen market position, rather than try to justify the purchase by return on investment. Read an abstract. -- by Modern Physician/MP Stat
Breaking barriers to order-entry systems
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